TNCC 8th Edition Provider Exam With
complete solution 2024/25
EMS brings a patient who fell while riding his bicycle. Using the American College of
II II II II II II II II II II II II II II
Surgeons screening guidelines, which assessment finding would prompt the nurse to
II II II II II II II II II II II
prepare the patient for radiologic spine clearance? - Alert with no neurological deficits
II II II II II II II II II II II II II II II
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
II II II II II II II II II II II II II II II
better visualization during the insertion of which device? - Endotracheal tube
II II II II II II II II II II II II II
A 35-year-old male presents with facial trauma after being struck in the face with a
II II II II II II II II II II II II II II II II
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
II II II II II II II II II II II II II II II
- Globe rupture
II II II II II
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
II II II II II II II II II II II II II II II
story window. The patient is awake and crying with increased work of breathing and pale
II II II II II II II II II II II II II II
skin. Which of the following interventions has the highest priority? - Padding the upper
II II II II II II II II II II II II II II II II
back while stabilizing the cervical spine
II II II II II II
II IIWhich of the following injuries is LEAST likely to be promptly identified? - Bowel
II II II II II II II II II II II II II II II
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
II II II II II II II II II II II II II II
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
II II II II II II II II II II II II
signs are stable. The nurse can anticipate all of these after a negative FAST exam
II II II II II II II II II II II II II II II
EXCEPT which of the following? - Diagnostic peritoneal lavage
II II II II II II II II II II II
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient?
II II II II II II II II II II II II II II II II II
- To gauge end-organ perfusion and tissue hypoxia
II II II II II II II II II II
During the primary survey of an unconscious patient with multi-system trauma, the nurse
II II II II II II II II II II II II II II
notes snoring respirations. Which priority nursing intervention should be performed next?
II II II II II II II II II II II
- Insert an oropharyngeal airway if there is no gag reflex
II II II II II II II II II II II II II
Which of the following assessment findings differentiates a tension pneumothorax from a
II II II II II II II II II II II II II
simple pneumothorax? - Hypotension that worsens with inspiration (pulsus paradoxus)
II II II II II II II II II II II II
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
II II II II II II II II II II II II II II II
Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
II II II II II II II II II II II II II
A trauma patient is en route to a rural emergency department. Radiology notifies the
II II II II II II II II II II II II II II II
charge nurse that the computed tomography (CT) scanner will be out of service for
II II II II II II II II II II II II II II
several hours. The team gathers to plan accordingly. Which of the following terms best
II II II II II II II II II II II II II II
describes this trauma team's communication? - Huddle
II II II II II II II II II
, II IIWhat finding raises suspicion of a complete spinal cord injury? - Priapism
II II II II II II II II II II II II II
A patient is thrown against a car during a tornado and presents with obvious bilateral
II II II II II II II II II II II II II II II II
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
II II II II II II II II II II II II II
Which of the following interventions would be most appropriate for this patient based on
II II II II II II II II II II II II II II
the disaster triage principles? - Initiate two large-caliber intravenous lines for Ringer's
II II II II II II II II II II II II II II
lactate solution administration.
II II II
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move
II II II II II II II II II II II II II II II II II II II
her hand due to pain. Which of the following is the most appropriate intervention? - Apply
II II II II II II II II II II II II II II II II II II
a splint and elevate the extremity above the level of the heart
II II II II II II II II II II II II
Which of the following is a late sign of increased intracranial pressure? - Decreased
II II II II II II II II II II II II II II II II II
respiratory effort
II II
Tearing of the bridging veins is most frequently associated with which brain injury? -
II II II II II II II II II II II II II II II II II
Subdural hematoma
II II
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
II II II II II II II II II II II II II II II II II II II
pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
II II II II II II II II II II II II
height at the costal margin, and some dark bloody show. Varying accelerations and
II II II II II II II II II II II II II
decelerations are noted on cardiotocography. These findings are most consistent with
II II II II II II II II II II II
which of the following? - Placental abruption
II II II II II II II II II
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
II II II II II II II II II II II II II II
hypotension and which other clinical signs? - Bradycardia and absent motor function
II II II II II II II II II II II II II II
below the level of injury
II II II II II
Following a review of recent drills and a real disaster event, a hospital has identified
II II II II II II II II II II II II II II II II
deficiencies and is taking steps to minimize the impact of a future disaster. Which phase
II II II II II II II II II II II II II II II
of the disaster life cycle does this describe? - Mitigation
II II II II II II II II II II II II
Which of the following considerations is most important when caring for a geriatric
II II II II II II II II II II II II II II
trauma patient? - Medical history
II II II II II II II
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating
II II II II II II II II II II II II II II II II II II II
the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
II II II II II II II II II II II II II II II
both upper extremities and superficial burns to the anterior chest. Using the modified
II II II II II II II II II II II II II
Lund and Browder chart to calculate the total body surface area burned, how much
II II II II II II II II II II II II II II
intravenous fluid would be administered in the first 8 hours? - 2280 mL
II II II II II II II II II II II II II II II
An intubated trauma patient is being transferred to a tertiary care center. After moving the
II II II II II II II II II II II II II II II II
patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of
II II II II II II II II II II II II II II II II II
the following is the priority intervention? - Confirm endotracheal tube placement
II II II II II II II II II II II II II
complete solution 2024/25
EMS brings a patient who fell while riding his bicycle. Using the American College of
II II II II II II II II II II II II II II
Surgeons screening guidelines, which assessment finding would prompt the nurse to
II II II II II II II II II II II
prepare the patient for radiologic spine clearance? - Alert with no neurological deficits
II II II II II II II II II II II II II II II
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
II II II II II II II II II II II II II II II
better visualization during the insertion of which device? - Endotracheal tube
II II II II II II II II II II II II II
A 35-year-old male presents with facial trauma after being struck in the face with a
II II II II II II II II II II II II II II II II
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
II II II II II II II II II II II II II II II
- Globe rupture
II II II II II
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
II II II II II II II II II II II II II II II
story window. The patient is awake and crying with increased work of breathing and pale
II II II II II II II II II II II II II II
skin. Which of the following interventions has the highest priority? - Padding the upper
II II II II II II II II II II II II II II II II
back while stabilizing the cervical spine
II II II II II II
II IIWhich of the following injuries is LEAST likely to be promptly identified? - Bowel
II II II II II II II II II II II II II II II
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
II II II II II II II II II II II II II II
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
II II II II II II II II II II II II
signs are stable. The nurse can anticipate all of these after a negative FAST exam
II II II II II II II II II II II II II II II
EXCEPT which of the following? - Diagnostic peritoneal lavage
II II II II II II II II II II II
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient?
II II II II II II II II II II II II II II II II II
- To gauge end-organ perfusion and tissue hypoxia
II II II II II II II II II II
During the primary survey of an unconscious patient with multi-system trauma, the nurse
II II II II II II II II II II II II II II
notes snoring respirations. Which priority nursing intervention should be performed next?
II II II II II II II II II II II
- Insert an oropharyngeal airway if there is no gag reflex
II II II II II II II II II II II II II
Which of the following assessment findings differentiates a tension pneumothorax from a
II II II II II II II II II II II II II
simple pneumothorax? - Hypotension that worsens with inspiration (pulsus paradoxus)
II II II II II II II II II II II II
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
II II II II II II II II II II II II II II II
Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
II II II II II II II II II II II II II
A trauma patient is en route to a rural emergency department. Radiology notifies the
II II II II II II II II II II II II II II II
charge nurse that the computed tomography (CT) scanner will be out of service for
II II II II II II II II II II II II II II
several hours. The team gathers to plan accordingly. Which of the following terms best
II II II II II II II II II II II II II II
describes this trauma team's communication? - Huddle
II II II II II II II II II
, II IIWhat finding raises suspicion of a complete spinal cord injury? - Priapism
II II II II II II II II II II II II II
A patient is thrown against a car during a tornado and presents with obvious bilateral
II II II II II II II II II II II II II II II II
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
II II II II II II II II II II II II II
Which of the following interventions would be most appropriate for this patient based on
II II II II II II II II II II II II II II
the disaster triage principles? - Initiate two large-caliber intravenous lines for Ringer's
II II II II II II II II II II II II II II
lactate solution administration.
II II II
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move
II II II II II II II II II II II II II II II II II II II
her hand due to pain. Which of the following is the most appropriate intervention? - Apply
II II II II II II II II II II II II II II II II II II
a splint and elevate the extremity above the level of the heart
II II II II II II II II II II II II
Which of the following is a late sign of increased intracranial pressure? - Decreased
II II II II II II II II II II II II II II II II II
respiratory effort
II II
Tearing of the bridging veins is most frequently associated with which brain injury? -
II II II II II II II II II II II II II II II II II
Subdural hematoma
II II
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
II II II II II II II II II II II II II II II II II II II
pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
II II II II II II II II II II II II
height at the costal margin, and some dark bloody show. Varying accelerations and
II II II II II II II II II II II II II
decelerations are noted on cardiotocography. These findings are most consistent with
II II II II II II II II II II II
which of the following? - Placental abruption
II II II II II II II II II
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
II II II II II II II II II II II II II II
hypotension and which other clinical signs? - Bradycardia and absent motor function
II II II II II II II II II II II II II II
below the level of injury
II II II II II
Following a review of recent drills and a real disaster event, a hospital has identified
II II II II II II II II II II II II II II II II
deficiencies and is taking steps to minimize the impact of a future disaster. Which phase
II II II II II II II II II II II II II II II
of the disaster life cycle does this describe? - Mitigation
II II II II II II II II II II II II
Which of the following considerations is most important when caring for a geriatric
II II II II II II II II II II II II II II
trauma patient? - Medical history
II II II II II II II
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating
II II II II II II II II II II II II II II II II II II II
the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
II II II II II II II II II II II II II II II
both upper extremities and superficial burns to the anterior chest. Using the modified
II II II II II II II II II II II II II
Lund and Browder chart to calculate the total body surface area burned, how much
II II II II II II II II II II II II II II
intravenous fluid would be administered in the first 8 hours? - 2280 mL
II II II II II II II II II II II II II II II
An intubated trauma patient is being transferred to a tertiary care center. After moving the
II II II II II II II II II II II II II II II II
patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of
II II II II II II II II II II II II II II II II II
the following is the priority intervention? - Confirm endotracheal tube placement
II II II II II II II II II II II II II
